• Machine Operator:

  • Company:

  • Seatbelt being worn when operating machine?

  • Horn being used at corners, on coming traffic and blind spots?

  • Machine / pedestrian 3 metre rule being used?

  • Required PPE is being worn?

  • Fork hoist driver has stopped and lowered forks prior to pedestrians approaching?

  • Driver has their fork hoist license present or valid competency to operate machine?

  • Dates on Competency card are all valid?

  • Machine is clean and free of rubbish?

  • Is the machine free of any noticeable faults?


  • Correct manual handling techniques being followed?

  • DMG pallets dropped in designated area?

  • Pedestrians using designated walkways?

  • Correct items in appropriate recycling bin?

  • Emergency exits are clear of obstructions?

  • Ground is clear and free from trip hazards?

  • Correct Safety signage is in place?

  • Recycle bins free of any damages?


  • Name:

  • Company:

  • What items are you allowed to stop and grab before proceeding to assembly point?

  • What should you do when the evacuation alarm sounds while working?

  • What is the minimum distance required between moving MHE and pedestrians?

  • What should you do if you see water, oil or liquid on the floor?

  • How many fork hoists are allowed to load/unload a vehicle at any time?

  • Who's responsible for reporting a Harvard/near miss/injury/property damage?

  • What must you carry with you at all times when you are using the MHE equipment?

  • What should you do if you see something being done that is unsafe?

  • Where are the first aid kits located?

  • Name a First Aider in your department?

  • Name a Fire Warden in your department?

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